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Pharmacy inspections

Inspection reports and learning from inspections

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Henley Pharmacy (1035923) - Improvement action plan

Standard not met Reason Action being taken by the Pharmacy By when Notification By Pharmacy Improvements Made
1.1

The pharmacy does not routinely manage some key risks to patient safety when it is providing its services. Such as checking people's age, identity and verifying their medical history in line with the weight loss service procedure. It does not obtain consent to share relevant information with a person's regular doctor. And it does not document its reasons when it decides not to supply weight loss medicines . This means that people cannot be sufficiently assured that it is safe for them to use the weight loss service.

We will access the patient's record on the PMR system if they are our patients. Otherwise, we will access their SCR after obtaining their authorization to confirm. We will also ask for the patient's ID during the consultation.

10/09/2025 10/09/2025
3.1

The dispensary has limited workbench space which is very cluttered making it more difficult to create a clean and tidy work environment. And there is a risk to the safe provision of pharmacy services such as dispensing and preparing multi-compartment compliance packs. The consultation rooms should not be used to store stock items. They require tidying and cleaning so they are safer and present a more professional image.

Clear and tidy the workbench space in the dispensary and ensure that consultation rooms are not used to store stock items.
We have attached some photos for evidence. We will make sure the rota will be followed strictly.

10/09/2025 10/09/2025
4.3

The pharmacy is not doing enough to ensure it is supplying high-risk medicines to people safely. It does not have alert cards to help people use these medicines safely. And it does not always highlight prescriptions for medicines which must be supplied within 28 days of the date the prescription was issued. So there is a risk the medicine may be supplied when the prescription is no longer valid. It leaves tote boxes of medicines unattended in the pharmacy where there is a risk that people could gain unauthorised access to them.

Implement measures to ensure the safe supply of high-risk medicines, such as using alert cards and highlighting prescriptions that must be supplied within 28 days.
We have isolated Controlled Drug prescriptions which will only be dispensed when patients come in to collect them.

10/09/2025 10/09/2025